Ambulatory emergency care center services offers cost-effective and time saving approach to facilitate variety of ophthalmology, urology, gastrointestinal, orthopedic, vascular, pulmonary, pain management and other surgeries. Ambulatory surgical process is been increasingly accepted by the patient population in developed countries as these surgeries provides safe, high quality and innovative approach for surgical interventions. Ambulatory care services or emergency health care services are also known as paramedic services (EMS, EMAS, EMARS or SAM) are a type of emergency services dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients with illnesses.